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VAERS ID	2304086
성별	남성
나이	29세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	ACB7737
예방접종 횟수	3
접종일	2022-05-19
발병일
상태	입원 중증 사망

증상

• 소생술(Resuscitation)
• 순환기 허탈(Circulatory collapse)

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임상 검사

증상 상세

Cardiovascular collapse; Resuscitation; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the RA.
Regulatory number: DE-PEI-202200113113.
A 29-year-old male patient received BNT162b2 (COMIRNATY), on 19May2022 as dose 3 (booster), single (Lot number: ACB7737) at the age of 29 years for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: comirnaty (Dose 1, Strength/unit: 0,3 mL), administration date: 29Apr2021, for COVID-19 vaccination; comirnaty (Dose 2, Strength/unit: 0,3 mL), administration date: 20May2021, for COVID-19 vaccination.
The following information was reported: CIRCULATORY COLLAPSE (death, hospitalization, medically significant, life threatening), outcome "fatal", described as "Cardiovascular collapse"; RESUSCITATION (death, hospitalization, life threatening), outcome "fatal".
The patient date of death was 19May2022.
The reported cause of death was unknown.
It was not reported if an autopsy was performed.
Clinical information: Causality assessment of the reaction as reported as RA: Unclassifiable.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Unknown cause of death